Abstract
Carcinoma of the maxillary sinus used to present poor prognosis. In 1963, Sato (1966) reported an epock-making technique in treating this difficult condition. His technique basically consisted of local chemotherapy via intra-arterial infusion, radiation and “necrotomy”. The term “necrotomy” implied daily procedures in which granulation, necrotic and fibrous tissues were mechanically removed via the window opened in the oral vestible. In our department, we have attempted his original method and various modifications since 1967. As for the treatments of carcinoma of the maxillary sinus, the best modalities appeared to be the following two combinations: (1) infusion, radiation and necrotomy followed by an eradicating surgery and (2) infusion, radiation and necrotomy associated with a mass reduction surgery. For the purpose of necrotomy or mass reduction, we adopted various method. The use of Nd-YAG laser has proved to be the best way of necrotomy or mass reduction for carcinoma of the maxillary sinus.
